Individual provider Active NPI

Laura Swinford, L.C.S.W.

  • Clinical Social Worker
  • Bloomington, IN
National Provider Identifier
1144629544
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006749A Issued in IN
Practice address
817 W 17TH St Ste 2
Bloomington, IN 47404-3333
Phone
(812) 333-8474
NPI assigned
Aug 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34006749A IN Primary

Addresses

Primary practice location

817 W 17TH St Ste 2
Bloomington, IN 47404-3333

Mailing address

7291 E Salt Creek Dr
Bloomington, IN 47401-9733
Phone (217) 714-5523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141210000152 IN Practitioner - Clinical Social Worker 0840512406 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Know Yoga Know Peace Clinical Current Accepting new patients
Jennifer Spencer PHD HSPP PC CurrentSince Nov 20, 2014 Accepting new patients

Locations

817 W 17th St
#2
Bloomington, IN 47404
Phone (812) 216-5458

482 S Landmark Ave
Bloomington, IN 47403
Phone (812) 333-8474

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1144629544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7291 E SALT CREEK DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474019733",
            "telephone_number": "217-714-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W 17TH ST STE 2",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043333",
            "telephone_number": "812-333-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINFORD",
        "first_name": "LAURA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006749A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.